Active NPI
Karl H.S. Smith, M.D.
- Gynecologic Oncology Physician
- Jacksonville, FL
National Provider Identifier
1962495036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- ME 54539
- Practice address
- 655 W 8TH St
University of Florida Center for Women
Jacksonville, FL 32209-6511 - Phone
- (904) 244-5626
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | ME 54539 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
University of Florida Center for Women
Jacksonville, FL 32209-6511
Mailing address
7228 San Pedro Rd
Jacksonville, FL 32217-3408
Phone (904) 636-0231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00083697 | Other | FL | RR CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 54539 | FL | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Gynecologic Oncology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
655 W 8th St
Fl Ctr
Jacksonville, FL 32209
Phone (904) 244-5626
653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902
Interoperability endpoints
- ksmith59491@direct.shands.ufl.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1477713741
Gynecologic Oncology
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1962495036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7228 SAN PEDRO RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322173408",
"telephone_number": "904-636-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"address_2": "UNIVERSITY OF FLORIDA CENTER FOR WOMEN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KARL",
"middle_name": "H.S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "FL",
"license": "ME 54539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR CARE",
"identifier": "P00083697",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.